SY23-24 MERIT Health Leadership Academy Mentor Application
Hello! If you're getting this application form, it's because you've indicated an interest in MERIT's Health Leadership Academy's Mentor role. We are excited to tell you more about our program, and excited to get to know more about YOU through this short application.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is your current college, graduate school, or professional affiliation?
Johns Hopkins University Undergraduate Student
Johns Hopkins School of Medicine
Johns Hopkins School of Public Health
Johns Hopkins School of Nursing
Johns Hopkins University Graduate School (Other)
Johns Hopkins Hospital Research Staff
Johns Hopkins Hospital Staff
Mercy Medical Center Staff
University of Maryland School of Medicine
University of Maryland Hospital Staff
Other
If you are a college student, please list your cumulative GPA.
What is/was your undergraduate major?
Year in College
Freshman (Year 1)
Sophomore (Year 2)
Junior (Year 3)
Senior (Year 4)
Super Senior (Year 5)
Graduate School
I am not in College
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Background
How would you describe yourself?
Native American/American Indian or Alaskan Native
Asian
Black or African-American
Caucasian
Latinx
Native Hawaiian/Pacific Islander
Middle Easterners and North Africans
Multiple Races
Other
Where are you from (City and State)?
What type of high school did you attend?
Public
Private (Non-Parochial)
Private (Parochial)
Other
Did either of your parents graduate from college?
One parent graduated from a 4-year college
Both parents graduated from a 4-year college
Neither parent graduated from a 4-year college
Other
Describe all the support you received during your own college application process. What role did your parents, siblings, school counselors and other helpers play?
What sources of financial aid have you received from your college? (This will not affect your eligibility, but will help us in the scholar-matching process.)
Merit-based scholarships
Pell Grant or Federal SEOG grant(s)
State Scholarships
Subsidized/unsubsidized federal loans
National scholarship funding: Coca Cola, Gates Millennium, Questbridge, etc.
No Financial Aid
Athletic Scholarship(s)
Are you willing to work with scholars who has a diagnosed disability that impact their learning?
Yes
No
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Previous Experiences and Strengths
Have you been involved in MERIT in the past?
Yes
No
If you indicated 'yes' above - please explain.
Describe any experiences you have working with younger students (teaching, mentoring, camp-counseling, etc.). Please describe the age and demographic of students that you've worked with.
Describe any experiences you have had assisting others with the college application process (outside of your own)
We recognize the strengths of our volunteers and may want to include you in the mentor training process. Indicate which of the following topics you feel most confident about and would be willing to help lead trainings for:
How to navigate the college financial aid process (federal loans, etc.)
How to brainstorm the most creative college essay content
How to edit college essays to perfection
How to empower a student who is feeling overwhelmed and stressed
How to create an Excel sheet that will blow your mind
How to help students stay digitally organized
How to work with a shy student who isn't comfortable talking very much
How to manage your time (as a mentor) so that you can stay on top of volunteering and academic classes
None - this would be a learning experience for me as well!
Other
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Academic Tutoring
Please indicate what subjects you are interested in tutoring?
Math Course(s)
Algebra I
Algebra II
Geometry
Pre-Calculus
Calculus
Statistics
Science Course(s)
Anatomy & Physiology
Biology
Chemistry
Physics
Academic Subjects
English
History
Lastly, in 100 words or less, please describe what drives you to take on this role with our scholars.
Other Comments
Thank you for filling out this application!
If you have any specific questions about this role, please feel free to reach out to our Director of Operations - Samuel Walker III at samuel.walker@meritbaltimore.org, 443-413-3930..
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